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Permit Plbg Unit #135 2010 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001103 Date 9/07/10 Property Address . . . . . . 900 PLAZA 135 Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 fixture ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DAVID GRAY PLUMBING INC. 8850 CORPORATE SQUARE CT. JACKSONVILLE FL 32216 (904) 744-7255 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . valuation . . . . 0 Expiration Date . . 3/06/11 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 62 . 00 62 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. IMIU1 I oysiems(ATY 0 904-247-5845 P.I PLUMBING PERMIT APPLICATION CrrY OF ATLANTic BEAcH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax(904)247-5845 JoB ADDRESS: ? <20-- if/'?A6:fL PERmrr NEWORREPLACEWNTINSTALLATION: Project Value Zo TYPE oFFWvRE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwashm Shower Pew Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet HoseBibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Layatqry Water Heater Otber'Fixtures Water Treating System RE-PIEPE: TYPE OF FDCMJW QFY TYPE oF FDaT)RE Qry Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher ShowerPan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Flose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System NUSCELLANEOUS: o Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of pimn) 11 Lawm Sprin1der�ystem-Number of Heads 0 Well **V)ZWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** -KOther 44Wt�' t' Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six mouths.I hereby certify that I hav this epplication and)mow the same to be true and correct. All provisions of laws and ordirmces governing this work will be complied with whether speelfied or not. 7bc pernift does not give authority te violate the provisions of any other state or local IaW regulation construction or the paformance of construction. '�--C-o' C.) Property Owners Name, L -a4-& Y4L�-e oil Phone Number -6 41'77 Plumbing Company David Gra� Plumbing, Inc. Of floe Phone lq�x Fax_'? F3850 Corporate Squal e eum 1. ��S&� Co. Address: ElorW4 37716 city State—Zip License Holder(Print): I Alto ,K-' AVw State Certification/Registration#-efi�� tQ 7-7-6746 Notarized Signature of License Holder r-1 Sworn and subscribed before me this d of 2016 Signature of Notary Pubfic ............... 0Y 04 P NOtao U ic State of Florida Neal R Major 1(1*/ My Commission DD602560 ires12120/2010